| NPI | 1780456152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETHA PRIYANKA Owner 321-279-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-11-09 |